Group CBT for Depression in a Community Setting

Peterson, A. L.& Halstead, T. S. (1998). Group cognitive behavior therapy for depression in a community setting: A clinical replication series. Behavior Therapy, 29, 3-18.

ABSTRACT: Several controlled treatment-outcome studies have demonstrated the clinical efficacy of group behavioral and cognitive behavioral treatments for depression. However, there is a significant lack of evidence on mental health outcome evaluation studies for depression conducted in nonresearch clinical settings. Ss in research settings may represent only about 20% of the clinical population because of stringent inclusion criteria, requirements to accept random assignment to conditions, etc. The present study is a clinical replication series of the effectiveness of group cognitive behavior therapy for depression administered in a nonresearch community setting. Ss included 138 adult patients referred by mental health clinic providers for participation in a six-session (12-hour) depression management group. Outcome measures using the Beck Depression Inventory (BDI) indicated that the level of depression was decreased for 84% of Ss, the average reduction in depression as measured by the BDI was 38%, and 43% of the patients had a greater than 50% reduction in their BDI score. The results indicate that group cognitive behavior therapy can be effectively applied in a clinical setting with a heterogeneous patient population.

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